<% var title = "申请试吃"; %>
<% var mPart={%>
<div class="page page-current bg-white" id="PageTaste">
        <!-- 你的html代码 -->
        <header class="bar bar-nav">
            <a class="icon icon-left pull-left open-panel" href="javascript:history.back()"></a>
            <h1 class="title">申请品鉴师</h1>
        </header>
        <div class="content taste-apply-container" >
            <!-- 这里是页面内容区 -->
            <div class="form-container ">
                <div class="list-block clearBor setBor setMarTop10  setMarRight80 setMarLeft80">
                    <ul>
                        <li>
                            <div class="item-content">
                                <div class="item-inner">
                                    <div class="item-input">
                                        <input type="text" placeholder="真实姓名"  id="true_name" name="true_name" >
                                    </div>
                                </div>
                            </div>
                        </li>
                        <li>
                            <div class="item-content">

                                <div class="item-inner">
                                    <div class="item-input">
                                        <input type="text" placeholder="手机号"  id="mobile" name="mobile" >
                                    </div>
                                </div>
                            </div>
                        </li>
                        <li>
                            <div class="item-content">

                                <div class="item-inner">
                                    <div class="item-input">
                                        <input type="text" placeholder="验证码"  id="verify" name="verify" >
                                    </div>
                                    <div class="button button-fill verify">获取验证码</div>
                                </div>
                            </div>
                        </li>
                        <li>
                            <div class="item-content">

                                <div class="item-inner">
                                    <div class="item-input">
                                        <input type="text" placeholder="身份证号码"  id="identify_number" name="identify_number" >
                                    </div>
                                </div>
                            </div>
                        </li>

                    </ul>




                    <div class="content-block apply-ct">

                        <div class="applybtnbox norapply">
                            <input type="button"  id="applytasterbtn" name="submit"   class="button button-fill button-big" value="申请"  />
                        </div>
                    </div>


                </div>
            </div>

        </div>
</div>
<%};%>

<%  include("/WEB-INF/view/store/common/layout.html",{mPart:mPart,title:title}){} %>